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The Section of Sport and Exercise Medicine (SEM) represents physicians who practise referral-based SEM in British Columbia. We advocate for enhanced musculoskeletal care for patients in BC and for fair remuneration for the work of Section members. Our members are distributed across all regions of the province, and 75% are College of Family Physicians of Canada–trained physicians. Most members have a Certificate of Added Competence in SEM to signify their expertise in this complex area of care, and many have completed a full-time one-year fellowship in SEM to achieve this enhanced designation.